Medical Coder - Cancer Services - Kelsey Seybold Clinic - Remote
About The Position
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. In coordination with the Senior Coder, this position reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations ensures that the proper codes are on all claims prior to submission for all charges for the cancer center. The coder is responsible for a thorough review of auditing all charges in both the inpatient and outpatient setting to ensure that compliance and charge capture are clean prior to claim submission. The coder also acts as a liaison to the physicians and clinical teams and provides feedback to physicians and management staff regarding proper documentation and coding and works within company standards to maintain policy and procedures. Meets coding and abstracting deadlines to expedite the billing and charge entry process and ensures best practices for the center is met according to departmental policy and procedures. This position is an integral player in daily functions and month end processes for both campuses for Hematology Oncology/Infusion/Radiation Oncology and works as a team player; this team member will be proficient in all areas as to ensure cross coverage to include: eligibility, authorization, and financial assistance.
Requirements
- High school diploma or equivalent
- Associates degree or 2+ years of experience in physician office setting
- CPC within 6 months from date of hire
- 2+ years of billing experience in a clinic or Physician Office setting
- 1+ years of coding experience abstracting from clinical notes or dictations
- Diversified understanding of CPT guidelines and Medicare rules and regulations
- Solid understanding of Medical Terminology, excellent written and verbal communication skills
- Ability to work remotely with occasional mandatory on-site meetings
Nice To Haves
- 5+ years of experience in health care billing and collection
- 2+ years of Outpatient Facility coding and billing experience
- Experience with EPIC
- Knowledge of secondary or supplemental insurance claim filing (COB)
Responsibilities
- Coding Compliance - Identifies unbundled procedures according to CPT guidelines and current Medicare NCCI rules.
- Identifies other coding related denials including medical necessity and modifier usage.
- Provides feedback to physicians and management staff regarding denials.
- Works directly with the PAA team members and provides feedback for related coding, denial management and proper modifier usage.
- Stays abreast of the latest oncology and infusion/radiation oncology service line coding to ensure proper compliance according to local, state, federal and national associations.
Benefits
- In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
- No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
